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Post by cretin11 on Dec 1, 2023 12:26:59 GMT -5
sayhey I love that you don't give up the dream of making Afrezza a household name. Also love that avatar, classic pic!
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Post by sayhey24 on Dec 1, 2023 12:54:26 GMT -5
sayhey I love that you don't give up the dream of making Afrezza a household name. Also love that avatar, classic pic! Sayhey is saying - Say what! Come on Man! Give the diabetics a break and just prescribe them afrezza! |
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Post by prcgorman2 on Dec 1, 2023 12:58:23 GMT -5
That’s some serious hopium. But hey, that’s what we do here! You should not assume school nurses simply get hired because they are nurses and then get a little office to treat minor cuts and abrasions and supervise kids with headaches, et cetera. There are district policies and training. Afrezza is a tool in the toolbox and absolutely can be up for consideration as a "preferred" solution for lunchtime needs of Type 1 children. |
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Post by cretin11 on Dec 3, 2023 9:55:30 GMT -5
Yep, we agree Afrezza should be considered as a “preferred” solution for kids by all these nurses. So what is our timeline for when that should be accomplished, assuming we (Mannkind) do a competent job with the initiative?
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Post by ktim on Dec 3, 2023 11:05:19 GMT -5
I meant to say adopt not mandate. And I don't think it is likely that schools will adopt or mandate anything. While the pharmacy purchasing managers seem to have been given permission to override physicians, I do not believe the school boards can over ride physicians. I can not believe I allowed myself to get roped in to this random conjecture. No permission needed. Physicians can write prescriptions for any approved drugs and the patients can get them at any pharmacy... just requires money. That's our system. You almost sound like you think health care is a right we all have. We have freedoms instead... i.e. the freedom to buy health care if you can afford it. cretin11... what school nurses prefer is likely about as important as an essay written by one of their fourth graders. |
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Post by cretin11 on Dec 3, 2023 11:33:07 GMT -5
I can not believe I allowed myself to get roped in to this random conjecture. ... what school nurses prefer is likely about as important as an essay written by one of their fourth graders. LOL I think that is spot on, but it doesn’t fit into the hopium model we prefer here! |
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Post by prcgorman2 on Dec 3, 2023 20:56:11 GMT -5
cretin11 ... what school nurses prefer is likely about as important as an essay written by one of their fourth graders. LOL I think that is spot on, but it doesn’t fit into the hopium model we prefer here! I checked with an in-law and former school district administrator for nurses (she is a nurse too) whether they train nurses to supervise T1 children and whether they provide any guidance to parents for what they can do. She responded, “Yes school nurses help kids manage T1 and follow each kids Dr. orders for school management. They may mention treatment options that might benefit kids. But they have to have Dr. orders to follow. T1 is becoming more common in children. There is a push to allow older kids to treat themselves in the classroom if their Dr. and parents think they are capable. So inhaling insulin would maybe make this easier”. (I didn’t mention Afrezza but she knows I’m invested in a company that makes inhalable insulin.) The Pediatric study should demonstrate Afrezza mealtime insulin is provably easier and SAFER and therefore we can be hopeful Afrezza will be a hit not just with moms, doctors, and kids, but school nurses too. |
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Post by cretin11 on Dec 3, 2023 23:42:12 GMT -5
Yes we can be “hopeful” and that’s what we do. Seems like a reasonable objective to accomplish, looking forward to seeing how it goes.
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Post by casualinvestor on Dec 6, 2023 9:41:28 GMT -5
That’s some serious hopium. But hey, that’s what we do here! You should not assume school nurses simply get hired because they are nurses and then get a little office to treat minor cuts and abrasions and supervise kids with headaches, et cetera. There are district policies and training. Afrezza is a tool in the toolbox and absolutely can be up for consideration as a "preferred" solution for lunchtime needs of Type 1 children. What you describe is the ideal. The reality is that many schools can't get a fully qualified school nurse. And don't get me started on the parents that send in their kids sick. School nurses will only administer the medication to a child that is sent in by the family. No Tylenol, no cough drops, nothing. Marketing to schools would be a waste of time IMO |
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Post by prcgorman2 on Dec 6, 2023 11:58:59 GMT -5
You should not assume school nurses simply get hired because they are nurses and then get a little office to treat minor cuts and abrasions and supervise kids with headaches, et cetera. There are district policies and training. Afrezza is a tool in the toolbox and absolutely can be up for consideration as a "preferred" solution for lunchtime needs of Type 1 children. What you describe is the ideal. The reality is that many schools can't get a fully qualified school nurse. And don't get me started on the parents that send in their kids sick. School nurses will only administer the medication to a child that is sent in by the family. No Tylenol, no cough drops, nothing. Marketing to schools would be a waste of time IMO I agree that trying to market Afrezza directly to thousands of school nurses would be a waste of time. What would make sense is marketing to school nurse associations such as: * National Association of School Nurses (NASN) * National Board for Certification of School Nurses (NBCSN) * State school nurse associations such as California School Nurses Organization (CSNO). There are state school nursing associations in CA, CT, FL, IL, MA, MI, MN, MO, NJ, OH, TX, VA, WA and WI, and many others * Regional school nurse associations such as: - New England School Nurse Collaborative (NESNC)
- Overseas School Health Nurses Association (OSHNA)
Google search indicates the NASN is the largest of the school nurse associations, although if I was marketing I would start with lesser known associations to learn what worked best for school nurses in a less imposing environment. |
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Post by cretin11 on Dec 6, 2023 12:23:14 GMT -5
I like the out of box thinking of creative ways to market Afrezza and get the word out there. Realistically I agree with the others that such a strategy wouldn’t have much impact were MNKD to pursue it. Nurses have so many things to worry about, counting on them to proactively decide what insulin to give a kid (who is not their child) is wishful thinking.
But again I like the creative thinking. If we had a deep pockets BP partner who were serious about Afrezza (unlike our last one), they could easily allocate resources to hit up those nurses conferences and spread the Afrezza story. Unfortunately if we insist on going it alone we don’t have that ability.
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Post by peppy on Dec 6, 2023 12:38:13 GMT -5
I like the out of box thinking of creative ways to market Afrezza and get the word out there. Realistically I agree with the others that such a strategy wouldn’t have much impact were MNKD to pursue it. Nurses have so many things to worry about, counting on them to proactively decide what insulin to give a kid (who is not their child) is wishful thinking. But again I like the creative thinking. If we had a deep pockets BP partner who were serious about Afrezza (unlike our last one), they could easily allocate resources to hit up those nurses conferences and spread the Afrezza story. Unfortunately if we insist on going it alone we don’t have that ability. The only nurses that can decide which insulin to give a "kid" is a nurse practitioner, and then the order is signed by her affiliated physicians. I have no clue what you are saying. |
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Post by cretin11 on Dec 6, 2023 12:55:23 GMT -5
peppy try reading gorman’s post above mine. It’s about nurses and is well written and easy to follow IMO. Perhaps my post will then be understood by you in that context.
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Post by longliner on Dec 6, 2023 13:01:42 GMT -5
I like the out of box thinking of creative ways to market Afrezza and get the word out there. Realistically I agree with the others that such a strategy wouldn’t have much impact were MNKD to pursue it. Nurses have so many things to worry about, counting on them to proactively decide what insulin to give a kid (who is not their child) is wishful thinking. But again I like the creative thinking. If we had a deep pockets BP partner who were serious about Afrezza (unlike our last one), they could easily allocate resources to hit up those nurses conferences and spread the Afrezza story. Unfortunately if we insist on going it alone we don’t have that ability. The only nurses that can decide which insulin to give a "kid" is a nurse practitioner, and then the order is signed by her affiliated physicians. I have no clue what you are saying. Peppy, I assume you are saying the school nurse is not going to determine what insulin to give, he or she will simply follow the Parent/Doctor directive for that child. |
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Post by prcgorman2 on Dec 6, 2023 14:30:57 GMT -5
The only nurses that can decide which insulin to give a "kid" is a nurse practitioner, and then the order is signed by her affiliated physicians. I have no clue what you are saying. Peppy, I assume you are saying the school nurse is not going to determine what insulin to give, he or she will simply follow the Parent/Doctor directive for that child. That's right with the exception that the school nurse and the school administration are influential in determining what the school and the nurse will support (or prefer).
School nurses receive training and education on diabetes management, including insulin administration, blood glucose monitoring, and recognizing symptoms of hypo- and hyperglycemia.
School nurses collaborate with healthcare providers and families to develop Individualized Healthcare Plans (IHPs) and/or Section 504 (of the Rehabilitation Act of 1973) plans that outline the specific care and accommodations needed for students with diabetes.
If I understand correctly, doctors develop a Diabetes Medical Management Plan (DMMP). e.g., diabetes.org/DMMP. School nurses and administrations develop IHPs and/or Section 504 Plans. e.g., diabetes.org/504plan.
"The DMMP is an individualized diabetes medical plan developed by the student's treating provider that lays out the prescribed diabetes regimen for the school setting. The Section 504 Plan sets forth the accommodations, education aides and services needed for the student with diabetes." i.e., the DMMP is what the doctor does for the student with diabetes to provide guidance to the school nurse and the IHP is based on the DMMP and the Section 504 plan if there is one.
The point to all this is that diabetes care within the school setting is far more organized than what I think people were assuming and that if the results of the Pediatric study of Afrezza is compelling enough to persuade prescribers, Afrezza should also be showing up in DMMP, IHP, and 504 plans, and it would be a good thing if MannKind is, or gets, prepared to leverage those resources.
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